NPI 1003048505

Walgreen Co

Organisation Pharmacy Yakima, WA

Practice location

Address: 6400 W Nob Hill Blvd, Yakima, WA 98908-1929
Phone: (509) 965-0541
Fax: (509) 965-0895
Mailing address: 1901 E Voorhees St Ms 790, Danville, IL 61834-4515

Authorised official

Name: Jennifer Ponce
Title: Manager
Phone: (847) 527-2489

Registered specialties (3)

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence CF60112435 (WA)

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1003048505
Entity type: Organization
NPI issued: 17 Aug 2009
Record last updated: 10 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.